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γ 球蛋白联合甲泼尼龙琥珀酸钠治疗重症手足口病的疗效观察-中国保定儿童医院。

Effectiveness of gamma globulin combined with methylprednisolone sodium succinate in severe hand foot mouth disease - Baoding Children's Hospital, China.

机构信息

Department of Paediatrics, Baoding Children's Hospital, Key Laborary of Clinical Research on Respiratory Digestive Disease, Hebei Baoding, China.

出版信息

J Pak Med Assoc. 2020 Oct;70(10):1679-1683. doi: 10.5455/JPMA.9386.

DOI:10.5455/JPMA.9386
PMID:33159732
Abstract

OBJECTIVE

To determine the curative effect of gamma globulin combined with methylprednisolone sodium succinate on paediatric patients with severe hand-foot-mouth disease and analyse its influence on cardio-pulmonary functions.

METHODOLOGY

Eighty paediatric patients with severe hand-foot-mouth diseases (HFMD) treated in Baoding Children's Hospital, Key Laboratory of Clinical Research on Respiratory Digestive Disease from January 2015 to January 2017 were selected. This study was designed as a case control study with equally dividing patients into test and control groups through random digital method. Patients in the control group accepted methylprednisolone sodium succinate treatment based on conventional therapy. Those in the test group accepted gamma globulin combined with methylprednisolone sodium succinate. The efficacy of the two groups were observed and compared and the improvement of cardiac function index was detected after 3 days of treatment.

RESULTS

The time for symptom remission and hospitalisation of children in the test group were significantly shorter than those in the control group (P<0.05). The differences between the two groups had no statistical significance in terms of PaO2, PaCO2, OI, HR, EF% and CO before treatment. After the treatment, patients in the test group had significant improvement compared with the control group (P<0.05).

CONCLUSIONS

Curative effect of gamma globulin combined with methylprednisolone sodium succinate on paediatric patients showed significance and this treatment could be effectively improve clinical symptoms and cardio-pulmonary functions of paediatric patients.

摘要

目的

观察丙种球蛋白联合甲泼尼龙琥珀酸钠治疗小儿重症手足口病的疗效,并分析其对心肺功能的影响。

方法

选取 2015 年 1 月至 2017 年 1 月保定儿童医院呼吸消化科收治的重症手足口病患儿 80 例,采用随机数字表法将患儿等分为试验组和对照组。对照组在常规治疗基础上加用甲泼尼龙琥珀酸钠治疗,试验组在对照组治疗基础上加用丙种球蛋白。观察两组患儿的临床疗效,并比较两组患儿治疗后 3 天的心肺功能指标改善情况。

结果

试验组患儿症状缓解时间、住院时间均明显短于对照组(P<0.05)。两组患儿治疗前的 PaO2、PaCO2、OI、HR、EF%、CO 等心肺功能指标比较差异无统计学意义,治疗后试验组患儿上述指标明显优于对照组(P<0.05)。

结论

丙种球蛋白联合甲泼尼龙琥珀酸钠治疗小儿重症手足口病效果显著,可有效改善患儿的临床症状和心肺功能。

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